External case for a wearable medical device

ABSTRACT

A case for a wearable medical device is provided. The wearable medical device includes internal circuitry enclosed within an external housing. The case includes a first part sized to surround a first portion of the external housing and a second part sized to surround a second portion of the external housing. The first part includes an inner surface with contours configured to receive corresponding contours of the external housing. The first part is connected to the second to form a parting line around the external housing. An assembly including a wearable medical device and an external case is also provided.

CROSS REFERENCE TO RELATED APPLICATION

This application claims priority to U.S. Provisional Patent ApplicationNo. 62/082,365 filed on Nov. 20, 2014, the disclosure of which is herebyincorporated by reference in its entirety.

BACKGROUND OF THE INVENTION

Field of the Invention

The present disclosure relates generally to a case or enclosure for aportable wearable medical device, such as a wearable defibrillator, andspecifically to a multi-part removable case.

Description of Related Art

Technology is available for correcting excessively slow heart rates(bradycardia) using implantable devices, commonly referred to aspacemakers, which deliver micro joule electrical pulses to a slowlybeating heart in order to speed the heart rate up to an acceptablelevel. Also, it is well known to deliver high energy shocks (e.g., 180to 360 joules) via external paddles applied to the chest wall in orderto correct excessively fast heart rates, and prevent the possible fataloutcome of ventricular fibrillation or certain ventricular tachycardia.Bradycardia, ventricular fibrillation, and ventricular tachycardia areall electrical malfunctions (arrhythmias) of the heart. Each may lead todeath within minutes unless corrected by the appropriate electricalstimulation.

One of the most deadly forms of heart arrhythmias is ventricularfibrillation, which occurs when the normal, regular electrical impulsesare replaced by irregular and rapid impulses, causing the heart muscleto stop normal contractions and to begin to quiver. Normal blood flowceases, and organ damage or death may result in minutes if normal heartcontractions are not restored. Although frequently not noticeable to thevictim, ventricular fibrillation is often preceded by ventriculartachycardia, which is a regular but fast rhythm of the heart. Becausethe victim has no noticeable warning of the impending fibrillation,death often occurs before the necessary medical assistance can arrive.

Because time delays in applying the corrective electrical treatment mayresult in death, implantable pacemakers and defibrillators havesignificantly improved the ability to treat these otherwiselife-threatening conditions. Being implanted within the patient, thedevice continuously monitors the patient's heart for treatablearrhythmias and, when such is detected, the device applies correctiveelectrical pulses directly to the heart.

Normal heart function often can be restored to a person sufferingventricular fibrillation or ventricular tachycardia by a procedure knownas cardioversion, the synchronized application of electrical therapy tothe heart muscle. Pacemakers and defibrillators that apply correctiveelectrical pulses externally to the patient's chest wall also are usedto correct such life-threatening arrhythmias, but suffer from a drawbackinsofar as it may not be possible to apply the device in time during anacute arrhythmic emergency to save the patient's life. Such treatment isneeded within a few minutes to be effective.

Consequently, when a patient is deemed at high risk of death from sucharrhythmias, electrical devices often are implanted so as to be readilyavailable when treatment is needed. However, patients that have recentlyhad a heart attack or are awaiting such an implantable device may bekept in a hospital where corrective electrical therapy is generallyclose at hand. Long-term hospitalization is frequently impractical dueto its high cost, or due to the need for patients to engage in normaldaily activities.

Wearable defibrillators have been developed for patients that haverecently experienced cardiac arrest, that are susceptible to heartarrhythmias and are at temporary risk of sudden death, and that areawaiting an implantable device. However, some wearable defibrillatorsmay lack the desired combination of size and durability to providemaximum comfort and usability to the patient.

Accordingly, a need exists for a housing for a portable, wearabledefibrillator that is extremely durable to inhibit damage to thedefibrillator device even if dropped or otherwise subjected to animpact. In addition, the wearable defibrillator housing should includestructure for locking the housing to the device and to prevent a userfrom inadvertently removing the housing.

SUMMARY OF THE INVENTION

According to an aspect of the invention, a case for a wearable medicaldevice is provided. The wearable medical device comprises internalcircuitry enclosed within an external housing. The case comprises afirst part sized to surround a first portion of the external housing anda second part sized to surround a second portion of the externalhousing. The first part comprises an inner surface with contoursconfigured to receive corresponding contours of the external housing.The second part comprises an inner surface having contours configured toreceive corresponding contours of the external housing. The first partis connected to the second part to form a parting line around theexternal housing.

According to another aspect of the invention, an assembly is provided.The assembly comprises a wearable medical device and a case for thewearable medical device. The wearable medical device comprises anexternal housing enclosing internal electronic circuitry. The casecomprises a first part sized to surround a first portion of the externalhousing and a second part sized to surround a second portion of theexternal housing. The first part comprises an inner surface withcontours configured to receive corresponding contours of the externalhousing. The second part comprises an inner surface having contoursconfigured to receive corresponding contours of the external housing.The first part is connected to the second part to form a parting linearound the external housing.

According to another aspect of the invention, a tool for removing a casefrom a wearable medical device is provided. The tool comprises: a body;a recess extending from a front surface of the body, which is sized andshaped to receive a portion of the wearable medical device and the caseattached thereto; and one or more releasing protrusions extending fromthe front surface of the body positioned to contact correspondinglocking protrusions extending from a portion of the wearable medicaldevice. The releasing protrusions are configured such that upon contactwith the locking protrusions, the locking protrusions are released froma protrusion receiving portion on the case, thereby releasing a firstpart of the case from a second part of the case. Once the first part isreleased from the second part, the first part can be removed from thesecond part by sliding the first part and the second part away from eachother.

Preferred and non-limiting aspects or embodiments of the presentinvention will now be described in the following numbered clauses:

Clause 1: A case for a controller of a wearable medical device includesinternal circuitry enclosed within an external housing. The caseincludes: a first part sized to surround a first portion of the externalhousing, the first part comprising an inner surface with contoursconfigured to receive corresponding contours of the external housing;and a second part sized to surround a second portion of the externalhousing, the second part comprising an inner surface having contoursconfigured to receive corresponding contours of the external housing.The first part can be connected to the second part to form a partingline around the external housing.

Clause 2: The case of clause 1, wherein the parting line between thefirst part and the second part can be flush with at least a portion ofan outer surface of the first part and the second part.

Clause 3: The case of clause 1, wherein the first part can be connectedto the second part by one or more of: an adhesive, ultrasonic welding,one or more fasteners, and a snap mechanism.

Clause 4: The case of clause 1, wherein the first part can be connectedto the second part by slidably inserting the first part and the secondpart together, such that a portion of the first part overlaps a portionof the second part.

Clause 5: The case of clause 1, wherein the external housing cancomprise a top cover, a front cover, and a rear cover.

Clause 6: The case of clause 5, wherein the first part can comprise atop configured to cover at least a portion of the top cover of theexternal housing and sides configured to cover portions of the frontcover and the rear cover of the external housing.

Clause 7: The case of clause 5, wherein the second part can comprise abottom and sides extending therefrom. The bottom and sides can beconfigured to cover portions of the front cover and the rear cover.

Clause 8: The case of clause 1, further comprising at least one caseopening defined by the first part and/or the second part.

Clause 9: The case of clause 8, wherein the at least one opening can bepositioned over one or more of a speaker, a microphone, and a responsebutton of the controller.

Clause 10: The case of clause 8, wherein the at least one opening canallow access to the controller for electrically coupling a sensingdevice and/or a therapeutic device to the controller.

Clause 11: The case of clause 4, wherein the overlapping portion of thefirst part or the overlapping portion of the second part can comprise asealing structure that forms a waterproof connection between the firstpart and the second part along the parting line.

Clause 12: The case of clause 1, wherein, when the first part isconnected to the second part, the case can be waterproof.

Clause 13: The case of clause 4, wherein the overlapping portions of thefirst part and the second part can form a frictional engagement forsecuring the first part to the second part.

Clause 14: The case of clause 1, wherein the at least one case openingcan comprise a battery well opening, the battery well opening beingpositioned at an extended side of the first part and corresponding insize and shape to a battery well of the controller.

Clause 15: The case of clause 14, wherein the parting line between thefirst part and the second part can be a jogged parting line positionedto accommodate the battery well opening.

Clause 16: The case of clause 1, wherein the first part and/or thesecond part can further comprise at least one tab extending therefrom,the tab comprising an anchor hole for securing a carrying strap to thecase.

Clause 17: The case of clause 1, wherein the first part can comprise afirst tab and the second part comprises a second tab. The first tab andthe second tab can each comprise an anchor hole. When the first part isconnected to the second part, the anchor hole of the first tab can alignwith at least a portion of the anchor hole of the second tab.

Clause 18: The case of clause 17, wherein the first tab or the secondtab can comprise a protrusion, and wherein the protrusion can bereceived in a corresponding protrusion receiving portion of the firsttab or the second tab.

Clause 19: The case of clause 17, wherein the first tab or the secondtab can comprise a biasing member configured to bias the protrusion intothe protrusion receiving portion when the first part is connected to thesecond part.

Clause 20: The case of clause 16, wherein the first tab can comprise abottom lip and wherein, when the first part is connected to the secondpart, a bottom surface of the second tab can be received by the bottomlip.

Clause 21: The case of clause 1, wherein the controller can comprise acontroller for a wearable defibrillator.

Clause 22: An assembly includes a controller for a wearable medicaldevice and a case for the controller. The controller can include anexternal housing enclosing internal electronic circuitry. The case caninclude: a first part sized to surround a first portion of the externalhousing, the first part comprising an inner surface with contoursconfigured to receive corresponding contours of the external housing;and a second part sized to surround a second portion of the externalhousing and comprising an inner surface having contours configured toreceive corresponding contours of the external housing. The first partcan be connected to the second part to form a parting line around theexternal housing.

Clause 23: The assembly of clause 22, wherein the controller of thewearable medical device can further comprise a battery well forattaching a battery to the external housing.

Clause 24: The assembly of clause 23, wherein, when the first part isconnected to the second part, the case can comprise a case openingpositioned to permit a user to access the battery well of thecontroller.

Clause 25: The assembly of clause 22, wherein, when the first part isconnected to the second part, the case can comprise an openingconfigured to allow a user to access a user interface of the controller.

Clause 26: The assembly of clause 22, wherein the first part of the casecan comprise a first tab and the second part of the case can comprise asecond tab. The first tab and the second tab can each comprise an anchorhole. When the first part is connected to the second part, the anchorhole of the first tab can align with at least a portion of the anchorhole of the second tab.

Clause 27: The assembly of clause 26, further comprising a carryingstrap. The carrying strap can be connected to the case with fastenersconnected to the anchor holes of the first tab and the second tab.

Clause 28: The assembly of clause 22, wherein the controller can furthercomprise a wireless receiver configured to wirelessly receive data froman external sensing device and/or therapeutic device.

Clause 29: The assembly of clause 22, wherein the first part of the casecan be connected to the second part of the case by slidably insertingthe first part and the second part together, such that a portion of thefirst part overlaps a portion of the second part.

Clause 30: The assembly of clause 22, further comprising a wearabledefibrillator operatively connected to the controller.

Clause 31: A tool for removing a case from a controller of a wearablemedical device includes: a body; a recess extending from a front surfaceof the body, which is sized and shaped to receive a portion of thecontroller and the case attached thereto; and one or more releasingprotrusions extending from the front surface of the body positioned tocontact corresponding locking protrusions extending from a portion ofthe controller The releasing protrusions can be configured such thatupon contact with the locking protrusions, the locking protrusions arereleased from a protrusion receiving portion on the case, therebyreleasing a first part of the case from a second part of the case, suchthat the first part can be removed from the second part by sliding thefirst part and the second part away from each other.

Clause 32: The tool of clause 31, further comprising guiding structuresfor guiding a portion of the first part or the second part to thereleasing protrusions and for aligning the releasing protrusions tolocking protrusions of the case.

Clause 33: A case for a controller of a medical device having circuitryenclosed within an external housing includes: at least one part sized tosurround one or more portions of the controller and comprising contoursconfigured to receive corresponding contours of the external housing ofthe controller. The at least one part comprises at least one openingpositioned to permit a user to access a user interface of thecontroller.

Clause 34: The case of clause 33, wherein the at least one part cancomprise an outer surface comprising contours and protrusions shaped toresemble contours and protrusions of the external housing of thecontroller.

Clause 35: The case of clause 33, wherein the at least one part can beat least partially secured to the external housing of the controller.

Clause 36: The case of clause 33 comprising a protective case.

Clause 37: The case of clause 33, wherein the controller can comprise aninput component, and wherein the opening is positioned to allow the userto manipulate at least a portion of the input component.

Clause 38: The case of clause 37, wherein the input component cancomprise one or more of a response button, a data entry accessory, akeypad, a trackpad, an audio input device, and/or a touch screen.

Clause 39: The case of clause 33, wherein the at least one part cancomprise a first part and a second part. The first part and the secondpart can be configured to connect together in a tamper-proof manner.

Clause 40: The case of clause 39, wherein the first part can beconnected to the second part by one or more of: an adhesive, ultrasonicwelding, one or more fasteners, and a snap mechanism.

Clause 41: The case of clause 39, wherein the first part can beconnected to the second part by slidably inserting the first part andthe second part together, such that a portion of the first part overlapsa portion of the second part.

Clause 42: The case of clause 39, wherein the first part and/or thesecond part can further comprise at least one tab extending therefrom,the tab comprising an anchor hole for securing a carrying strap to thecase.

Clause 43: The case of clause 39, wherein the first part can comprise afirst tab and the second part can comprise a second tab. The first taband the second tab can each comprise an anchor hole. When the first partis connected to the second part, the anchor hole of the first tab canalign with at least a portion of the anchor hole of the second tab.

Clause 44: The case of clause 43, wherein one of the first tab and thesecond tab can comprise a protrusion. The protrusion can be received ina corresponding protrusion receiving portion of the first tab or thesecond tab.

Clause 45: The case of clause 33, wherein the case can be removable andreplaceable, such that when the controller is provided with areplacement case, the controller appears to be in a like-new condition.

Clause 46: The case of clause 33, wherein an appearance of the case canbe selected to correspond to an appearance of the external housing ofthe controller.

BRIEF DESCRIPTION OF THE DRAWINGS

These and other features and characteristics of the present disclosure,as well as the methods of operation and functions of the relatedelements of structures and the combination of parts and economies ofmanufacture, will become more apparent upon consideration of thefollowing description and the appended claims with reference to theaccompanying drawings, all of which form a part of this specification,wherein like reference numerals designate corresponding parts in thevarious figures. It is to be expressly understood, however, that thedrawings are for the purpose of illustration and description only andare not intended as a definition of the limit of the invention.

FIG. 1 is a front perspective view of a wearable defibrillator inaccordance with the present invention;

FIG. 2 is a rear perspective view of the wearable defibrillator of FIG.1;

FIG. 3 is a rear perspective view of the wearable defibrillator of FIG.1 with a battery removed;

FIG. 4 is a front perspective view of a case and carrier strap for awearable defibrillator in accordance with the present invention;

FIG. 5 is a rear view of the case of FIG. 4;

FIG. 6 is an exploded perspective view of the case of FIG. 4;

FIG. 7A is a perspective view of a portion of the case of FIG. 4 in adisconnected configuration;

FIG. 7B is a perspective view of a portion of the case of FIG. 4 in aconnected configuration;

FIG. 8 is a perspective view of a case removing device for use with thecase of FIG. 4;

FIG. 9A is a schematic drawing of a portion of another embodiment of acase for a wearable defibrillator in a disconnected configuration, inaccordance with the present invention;

FIG. 9B is a schematic drawing of the case of FIG. 9A in a connectedconfiguration;

FIG. 10A is a schematic drawing of a portion of another embodiment of acase for a wearable defibrillator in a disconnected configuration, inaccordance with the present invention;

FIG. 10B is a schematic drawing of the case of FIG. 10A in a connectedconfiguration; and

FIG. 11 is a schematic drawing of a portion of another embodiment of acase for a wearable defibrillator, in accordance with the presentinvention.

DESCRIPTION OF THE INVENTION

As used herein, the singular form of “a”, “an”, and “the” include pluralreferents unless the context clearly dictates otherwise. For thepurposes of this specification, unless otherwise indicated, all numbersexpressing quantities of ingredients, reaction conditions, dimensions,physical characteristics, and so forth used in the specification andclaims are to be understood as being modified in all instances by theterm “about.”

As used herein, the terms “right”, “left”, “top”, and derivativesthereof shall relate to the invention as it is oriented in the drawingfigures. However, it is to be understood that the invention can assumevarious alternative orientations and, accordingly, such terms are not tobe considered as limiting. Also, it is to be understood that theinvention can assume various alternative variations and stage sequences,except where expressly specified to the contrary. It is also to beunderstood that the specific devices and processes illustrated in theattached drawings, and described in the following specification, areexamples. Hence, specific dimensions and other physical characteristicsrelated to the embodiments disclosed herein are not to be considered aslimiting.

Notwithstanding that the numerical ranges and parameters setting forththe broad scope of the invention are approximations, the numericalvalues set forth in the specific examples are reported as precisely aspossible. Any numerical value, however, inherently contain certainerrors necessarily resulting from the standard deviation found in theirrespective testing measurements. Also, it should be understood that anynumerical range recited herein is intended to include all subrangessubsumed therein. For example, a range of “1 to 10” is intended toinclude any and all subranges between and including the recited minimumvalue of 1 and the recited maximum value of 10, that is, all subrangesbeginning with a minimum value equal to or greater than 1 and endingwith a maximum value equal to or less than 10, and all subranges inbetween, e.g., 1 to 6.3, or 5.5 to 10, or 2.7 to 6.1.

Aspects of the present disclosure are directed to cases, covers,enclosures, and housings for a medical device and/or a controller for amedical device. In some examples, the medical device comprises anexternal housing enclosing internal circuitry, such as monitoring andprocessing circuitry. The case includes at least one part sized tosurround one or more portions of the external housing of the medicaldevice and/or controller. The case can be secured to the externalhousing in a tamper-proof manner. The case can be a protective case forat least a portion of the external housing of the medical device and/orcontroller. For example, the protective case can be configured toprotect the medical device and/or controller from wear and tearexperienced during normal daily use of the device. Accordingly, theprotective case can protect the external housing of the medical deviceand/or housing of the controller from scratches, scuff marks, scrapes,dents, and other signs of use and/or of the age of the device.

In some examples, the part comprises contours configured to receivecorresponding contours of the external housing of the medical deviceand/or controller. In one implementation, the case is configured toappear to be part of the medical device and/or controller, such that anobserver (e.g., a user of the device) is unable to readily perceive thatthe case is independent and separable from the external housing. In thisregard, users may perceive that the case is part of the external housingof the medical device and/or controller and was connected thereto at thetime of manufacture. However, in some examples, the case may be removedand replaced to refurbish the medical device. Once provided with a newcase, the medical device and/or controller is in a like-new condition.In some examples, the case can be disposable.

Wearable Defibrillator

With reference to FIGS. 1-3, a controller for a wearable medical device,such as a defibrillator generally denoted as reference numeral 1, isprovided. The defibrillator 1 is configured to implement the criticalfunctions of monitoring an ambulatory patient's ECG information and,when needed, administering a therapeutic shock to the patient. Forexample, defibrillators, such as the LifeVest® wearable defibrillatoravailable from ZOLL® Corporation, are typically worn nearly continuouslyfor two to three months at a time. During the period of time in which itis worn by the patient, the defibrillator needs to continuously orsubstantially continuously monitor the vital signs of the patient, to beuser-friendly and accessible, to be as light-weight, comfortable, andportable as possible, and to be capable of delivering one or morelife-saving therapeutic shocks when needed. As a result of therelatively long term use of the defibrillator, it is useful to include aprotective case or cover surrounding the device to protect the devicefrom drops or other damage to the device housing.

The defibrillator 1 comprises internal circuitry, such as a distributedprinted circuit board (not shown). The printed circuit board ispositioned within an external housing 3 and configured to be worn by apatient and connected to a therapeutic or treatment device, such as anupper body harness or vest that comprises ECG electrodes and therapypads (not shown). The ECG electrodes and therapy pads of the harness orvest may be operatively coupled to the distributed printed circuit boardwithin the external housing 3 via a port 5. Such wearable therapeuticdevices are described in U.S. Pat. Nos. 4,928,690; 5,078,134; 5,741,306;5,944,669; 6,065,154; 6,253,099; 6,280,461; 6,681,003; 8,271,082; and8,369,944; as well as, United States Patent Application Publication No.2012/0011382, which are assigned to the assignee of the presentapplication and are hereby incorporated by reference in their entirety.Alternatively, the ECG electrodes and/or therapy pads may be configuredto wirelessly transmit data to the distributed printed circuit board viaa wireless data transmitter. For example, data recorded by the ECGsensors may be wirelessly transmitted from the ECG and/or therapeuticelectrodes to a wireless antenna or receiver in the external housing 3that is coupled to the printed circuit board.

In some embodiments, the external housing 3 of the defibrillator 1comprises a front cover 7, a rear cover 9, and a top cover 11. Arechargeable and removable battery 13 is positioned within a slot orbattery well 15 provided in the rear cover 9. The battery 13 is securedto the rear cover 9 by a battery latch 17. The battery latch 17 ispositioned at the top left corner of the battery 13 to allow for thebattery 13 to be removed from the external housing 3 with one rockingmotion. This rocking motion increases usability for patients withdecreased dexterity, such as a patient with arthritis. The battery 13has sufficient capacity to administer one or more therapeutic shocks tothe therapeutic electrodes as well as provide power to all of theinternal components of the defibrillator 1. As mentioned hereinabove,the external housing 3 of the defibrillator 1 is configured to be wornby the patient and is accordingly sized such that it does not interferewith the patient's movement and activity. In some examples, the externalhousing 3 may have a length of about 5 to 6 inches, a height of about 4to 5 inches, and a width of about 1 to 2 inches.

In some examples, the external housing 3 can also include one or moreinput components that allow a user to control and/or operate the device.For example, the external housing 3 can comprise a response mechanism,such as one or more patient response buttons 19, positioned, forexample, in the top left corner of the housing 3. In some examples, thehousing comprises a pair of response buttons 19. The response buttons 19are positioned a small distance apart, desirably less than 1.5 inches.The location of the response buttons 19 and the distance between theresponse buttons 19 was chosen to enable patients with limited dexterityto easily and quickly operate the response buttons 19.

In some examples, the defibrillator 1 also comprises an audio systemhaving a speaker port 21 and an audio input device, such as a microphoneport 23, positioned on the external housing 3. The speaker port 21 isdesirably positioned at least 2.5 inches away from the microphone port23 to minimize feedback. In addition, the speaker port 21 and themicrophone port 23 can be located on the top cover 11 of the externalhousing 3 in order to face the patient for better orientation andfunctionality. The speaker port 21 is also positioned on an upper cornerof the external housing 3 and wraps from the top of the external housing3 to a side thereof. This allows the speaker port 21 to be moredifficult to block if the top of the defibrillator 1 is obstructed. Themicrophone port 23 and the speaker port 21 may be covered by a mesh orother suitable covering to prevent the ingress of fluid and/or particlesinto the external housing 3.

The external housing 3 of the defibrillator 1 also comprises a displayscreen 25, such as a touch screen, for providing information to apatient and for providing access to a user interface for controllingand/or for obtaining information about the status of the device. Thedisplay screen 25 provides information such as, but not limited to,time, battery life, volume, signal strength, device status, and anyother useful information to the patient. In addition, the display screen25 also allows the user to access various data regarding thedefibrillator 1 such as, but not limited to, the settings of the device,data stored by the device, and various other data accumulated by thedefibrillator 1. The display screen 25 further acts as a communicationinterface to allow the patient to send and receive data.

The display screen 25 may be any suitable capacitive touch screendevice. For instance, the display screen 25 may comprise a 1.1 mm thickDragontrail™ lens, manufactured by Asahi Glass Co. of Tokyo, JP, whichsupports a projected capacitive touch screen having a 4.3 inch LCD onthe reverse side. A glass display may be provided to cover the entirefront of the defibrillator 1, except for the response buttons 19, toprovide the defibrillator 1 with a smooth, finished look and feel.

In operation, if the defibrillator 1 detects an abnormal condition, thedefibrillator 1 is configured to stimulate the patient for apredetermined time period. The stimulus may be any stimulus perceptibleby the patient. Examples of stimuli that the defibrillator 1 may produceinclude visual (via the display screen 25), audio (via the speaker port21), tactile stimulation (via a vibrator (not shown) device included inthe therapeutic device) or a mild stimulating alarm shock (via thetherapeutic device). The one or more response buttons 19 are provided toallow a user to turn off the stimulus by pressing one or more of theresponse buttons 19 within the predetermined time period. For example,if the defibrillator 1 includes a pair of response buttons 19, the usermay be required to press both of the response buttons 19 to turn off thestimulus. By pressing the one or more response buttons 19, the stimulusis ceased and no further action is taken by the defibrillator 1. If thepatient does not take any action, the defibrillator 1 administers one ormore therapeutic shocks to the therapeutic electrodes of the therapeuticdevice.

Removable Case

Having described the structure and operation of the defibrillator 1 andwith reference to FIGS. 4-6, an exemplary external case 110, enclosure,or cover for the defibrillator 1 (shown in FIGS. 1-3) is now discussedin detail. The case 110 protects the defibrillator housing 3 (shown inFIGS. 1-3) and other external structures from damage, such as scratchesor dents, which may occur during use. The case 110 is intended to beremovable and replaceable, but in a non-obvious and somewhat complexmanner. For example, the case 110 can include latches, connectors,and/or fasteners that join parts of the case 110 together. Removal ordetachment of the latches, connectors, and/or fasteners can require adegree of manipulation or dexterity to perform. In some examples,removal or detachment of the latches, connectors, and/or fasteners canrequire specialized tools. Thus, the parts can be connected together ina tamper-proof manner. Accordingly, the case 110 can be removed andreplaced by an authorized service technician or other party who isauthorized and/or instructed to remove/replace the case 110. However,wearers generally will not attempt to remove the case 110 unlessinstructed to do so by a service technician for troubleshootingpurposes. For example, parts of the case 110 may fit securely togethergiving the appearance that the case 110 is a single structure that fullyencloses the defibrillator housing 3 and cannot be disconnected orremoved. Similarly, the case 110 may be a shape and color that blends inwith the defibrillator housing 3 creating the visual impression to anobserver that the case 110 is integrally formed with the housing 3 andcannot be removed therefrom. As a result of these aesthetic elements,wearers generally should not attempt to remove the case 110 from thedefibrillator ensuring that the defibrillator is securely protected atall times.

In some examples, the defibrillator 1 can be refurbished by removing anold case 110 and installing a new case. When the new case 110 isinstalled, the defibrillator 1 has a like-new appearance and/or is in alike-new condition. In some examples, the case 110 can be temporary anddisposable. In that case, the defibrillator 1 can be provided with a newcase on a regular basis.

In some examples, the case 110 may be water resistant or waterproof toprotect the defibrillator 1 in a rainstorm or when the user is taking ashower or bath. In that case, the case 110 may entirely enclose thedefibrillator 1 to prevent water from contacting electronic portions ofthe defibrillator 1. In addition, any connections between portions ofthe case 110 may include gaskets or other sealing structures to preventwater from flowing into an interior of the case 110. Alternatively or inaddition to including a waterproof case 110, an accessory kit forprotecting the defibrillator 1 and associated electronics including awaterproof enclosure may also be used. The defibrillator 1 and case 110can be temporarily sealed in the waterproof enclosure when needed toprotect the defibrillator 1. An exemplary accessory kit including awaterproof enclosure is disclosed in United States Patent ApplicationPublication No. 2012/0158075, which is assigned to the assignee of thepresent application, and which is hereby incorporated by referenceherein in its entirety.

With reference to FIGS. 4-6, an example of the external case 110 isillustrated. The case 110 can be at least a two part structure formedfrom an upper part 112 and a lower part 114, though it is recognizedthat, in some examples, the case 110 can include only a single part. Insome examples, the parts 112, 114 are connected together (e.g., in aconnected configuration as shown in FIGS. 4 and 5) by sliding the upperpart 114 towards the lower part 114 in the direction A (shown in FIG. 6)about the defibrillator 1. In the connected configuration, the parts112, 114 form an interior recess or cavity that is configured tosurround and at least partially enclose the defibrillator housing 3.Accordingly, the parts 112, 114 comprise inner surfaces 113, 115including contours, recesses, apertures, curved portions, andsubstantially flat surfaces that are configured to cooperate withcorresponding structures of the defibrillator housing 3.

In other embodiments, the parts 112, 114 may be removably ornon-removably connected together in another manner. For example, theparts 112, 114 may be connected together with an adhesive or by anultrasonic welding process. Similarly, an adhesive material, such astape, may be wrapped around the case 10 to reinforce the connectionbetween the parts 112, 114. In other embodiments, mechanical connectors,such as fasteners, screws, or snap mechanisms may be used for mountingthe upper part 112 to the lower part 114. In still other embodiments,the parts 112, 114 may be connected together via a joint or hinge toform a clam shell structure, in which the upper part 112 and lower part114 are rotated together about the hinge to enclose the defibrillatorhousing 3.

The parts 112, 114 may be formed from any suitable hard material, suchas polypropylene (PP), polystyrene, polyethylene terephthalate, highdensity polyethylene, or combinations thereof. Desirably, the materialis recyclable, meaning that if the case 110 is damaged, it may simply berecycled and a replacement case 110 installed. Soft cases formed fromvarious rubberized materials and/or polymers may also be used within thescope of the present disclosure. In addition, in some embodiments, thecase 110 can comprise a combination of hard and soft portions. Forexample, the case 110 may comprise soft portions at the edges or ends ofthe case 110 and hard portions along its surfaces. Furthermore, whilethe parts 112, 114 are referred to herein as “upper” and “lower”, suchdirectional designations are not intended to limit the scope of thedisclosure in any way. For example, the case 110 may be formed from afront part connected to a back part, a right-side part connected to aleft-side part, or any other suitable arrangement that, when connectedtogether, at least partially enclose the defibrillator housing 3.

The upper part 112 is sized and shaped to surround an upper portion ofthe defibrillator 1 (shown in FIGS. 1-3). The term “upper portion” mayrefer to the upper half of the defibrillator housing 3 or some othersuitable section of the housing 3. The upper part 112 comprises a top116, as well as, a front side and a rear side 119 extending from the top116 to a bottom edge 120. The top 116 is configured to cover at least aportion of the top cover of the defibrillator housing 3. The front sidecovers a portion of the front face of the defibrillator 1 and mayprovide an opening that frames at least a portion of the display screen.The rear side 119 may comprise an extended portion having an opening 124that allows a user to access the battery well of the defibrillatorhousing 3. The battery opening 124 allows a user to remove or replacethe battery from the defibrillator 1 without removing or detaching anyportion of the case 110 from the defibrillator housing 3. The bottomedge 120 defines an open bottom of the upper part 112. The defibrillator1 is received through the open bottom into a recess or cavity that issized and shaped to receive the upper portion of the defibrillatorhousing 3.

In some examples, the top 116 and rear side 119 of the upper part 112can include access openings or apertures 122 such as, holes, slots, orcut away portions for accommodating or allowing a user to accessportions of the defibrillator. The case 110 may include any number ofopening or apertures 122 based on the configuration and functionality ofthe defibrillator 1. For example, an opening or aperture 122 may bepositioned over the speakers, microphone, and/or response buttons of thedefibrillator 1. In some examples, the opening 122 can be positioned toallow a user to access the user interface of the defibrillator 1. Inaddition, at least one opening or aperture 122 may be positioned toallow access to the port 5 of the defibrillator 1 for electricallycoupling a sensing or therapeutic device, such as the therapeuticelectrodes, to the defibrillator 1.

The bottom edge 120 of the upper part 112 may comprise an overlappingportion configured to be slidably connected to a corresponding portionon a top edge 130 of the lower part 114. The overlapping portion maycomprise a beveled or stepped edge that comes into contact with andslides under or over a corresponding overlapping portion of the lowerpart 114 creating a substantially flush surface or parting line betweenthe parts 112, 114. The substantially flush surface or parting line ismore difficult for an observer to see than a raised portion or ridgeand, therefore, contributes to the impression that the cover is formedfrom a single piece.

The parting line between the upper part 112 and the lower part 114 mayhave several shapes or orientations. In a simplest embodiment, theparting line is merely a straight line extending around thedefibrillator housing 3 at a suitable position or orientation.Alternatively, as shown in FIGS. 4-6, the upper part 112 comprises theextended rear section 119 that forms a jogged parting line between theextended rear section 119 and a corresponding recessed portion on therear side of the lower part 114. Forming the upper part 112 and lowerpart 114 with a jogged parting line improves the structural integrity ofthe lower part 114. Particularly, with the jogged parting line, thefront and rear sides of the lower part 114 are substantially symmetricalmeaning that the lower part 114 includes fewer extended, flexible, orflimsy portions that may bend or deform when exposed to certain forces.

In water resistant or waterproof embodiments of the case 110, theparting line between the upper part 112 and the lower part 114 mayinclude a gasket or sealing structure for creating a watertightconnection between the upper part 112 and the lower part 114. Forexample, the overlapping portion of the upper part 112 or the lower part114 may include an elastomeric seal that, when pressed against acorresponding overlapping section of the other part, prevents water andother fluids from entering the interior recess of the case 110. Inaddition, in order to prevent water from entering the interior recess orcavity of the case 110, the case 110 may be entirely free from any sortof openings or apertures.

The upper part 112 further comprises a locking or latching mechanism toassist in securing the upper part 112 to the lower part 114 and toprovide an anchor or connecting portion for attaching the case 110 to acarrier strap 146 (shown in FIG. 4), such as a lanyard or belt. Forexample, the upper part 112 may comprise one or more outwardly extendingtabs, referred to hereinafter as upper tabs 126. The upper tabs 126 maybe arranged on any suitable portion of the upper part 112. For example,the upper tabs 126 may be positioned near to or extending below thebottom edge 120 of the upper part 112 so that, when the upper part 114and the lower part 114 are connected together, the upper tabs 126 engagea portion of the lower part 114. The upper tabs 126 may comprise ananchor hole 128 or slot. The anchor hole 128 may be configured toreceive a fastener or clip for attaching the case 110 to the carrierstrap 146.

In some examples, the upper part 112 comprises two upper tabs 126positioned on opposite sides of the upper part 112. When the upper tabs126 are positioned in this manner, the upper part 112 has a symmetricalappearance relative to a latitudinal axis of the upper part 112.Including symmetrically oriented tabs 126 allows the defibrillator 1 tohang in a stable position when being held by the carrier strap 146attached thereto.

With continued reference to FIGS. 4-6, the lower part 114 is sized andshaped to surround a lower portion of the defibrillator 1 (shown inFIGS. 1-3). The term “lower portion” may refer to the bottom half of thedefibrillator housing 3 or some other suitable section of the housing 3.The lower part 114 comprises a bottom 132, extended right and left sides134 extending from the bottom 132, and lower front and back sides 133configured to cover a portion of the front and rear covers of thedefibrillator housing 3. The sides, 133, 134 extend from the bottom 132to the top edge 130. The top edge 130 defines an open top of the lowerpart 114. The defibrillator 1 is received through the open top into arecess that is sized and shaped to receive the lower portion of thedefibrillator housing. The lower part 114 may be formed from the samematerial as the upper part 112 to ensure that the upper and lower parts112, 114 have a similar appearance. Alternatively, the lower part 114may be formed from a harder, more protective, or more insulatingmaterial to provide additional protection against drops or impacts.

In some embodiments, the lower part 114 further comprises tabs, referredto hereinafter as lower tabs 136, configured to align with and,optionally, engage the upper tabs 128 of the upper part 112. Forexample, the lower tabs 136 may comprise anchor holes 140. When theparts 112, 114 are in the connected configuration, the anchor holes 128,140 may be configured to align with each other to form a through holethat is capable of receiving a connector or fastener for holding thecarrier strap 146. In certain embodiments, a locking piece such as apin, grommet, or clip may be inserted through the aligned anchor holes128, 140 to provide another means for connecting the upper part 112 andthe lower part 114. The lower tabs 136 may further comprise a bottom lip138. The upper tabs 126 may be sized and shaped to be received on thebottom lip 138. The bottom lip 138 serves two purposes. First, itprevents a user from inadvertently sliding the tabs 126, 136 past oneanother, thereby ensuring that the anchor holes 128, 140 and otherlocking structures are properly aligned. Second, the bottom lip 138 isan aesthetic feature that improves the appearance of the case 110 bycontributing to the overall impression that the case 110 is formed as asingle unit.

With reference to FIGS. 7A and 7B, the upper tabs 126 and lower tabs 136may further comprise an additional locking or latching structure forfurther securing the parts 112, 114 in the connected configuration. Forexample, the upper tabs 136 may comprise a protrusion 142, such as adetent, ridge, bulge, shelf, or post positioned to be inserted through acorresponding protrusion receiving portion in the lower tab 136, such asa latch hole 144. The latch hole 144 is sized and shaped to receive theprotrusion 142. For example, if the protrusion 142 is a post or detenthaving a circular cross section, then the latch hole 144 has a circularcross section. If the protrusion 142 is a square or rectangular shapedshelf or ridge, the corresponding hole 144 is a square or rectangularshaped hole sized to receive a portion of the shelf or ridge.

In operation, as the parts 112, 114 slide together, a portion of thelower tab 136 contacts the protrusion 142 of the upper tab 126 whichbiases the upper tab 126 away from the lower tab 136. Continued movementin the direction A causes the protrusion 142 to slide along a sidewallor surface of the lower tab 136 and, when in an appropriate position, tosnap into the latch hole 144 to connect the upper tab 126 to the lowertab 136. In this position, a bottom surface of the upper tab 126 restsagainst the bottom lip 138 of the lower tab 136.

Carrier Strap

With specific reference to FIG. 4, the carrier strap 146 is an elongatedpiece of synthetic or natural material that can be worn over a patient'sshoulder or around his or her waist for carrying the defibrillator 1.Fasteners or hangers, such as clips 148, are attached to the ends of thecarrier strap 146. The clips 148 may be c-shaped clips 148 having ac-shaped body 150 and a pivoting member 152 that is biased to a closedposition to form a closed ring. When the parts 112, 114 are in theconnected configuration, the clips 148 can be inserted through thealigned anchor holes 128, 140 of the tabs 126, 136. Thus, the clips 148are another mechanism for securing the upper part 112 and the lower part114 of the case 110 together and for reducing the likelihood that awearer will inadvertently detach the parts 112, 114. Particularly, theclips 148 lock the upper part 112 and the lower part 114 in place,thereby preventing the wearer from sliding the upper part 112 away fromthe lower part 114. In this way, even if the engagement between thebottom edge 120 and top edge 130 of the parts 112, 114 or between theprotrusion 142 and latch hole 144 is overcome by force, the clip 148will still hold the case 110 together. To remove the case 110 from thedefibrillator 1, the wearer must first remove the clips 148 from theanchor holes 128, 140 before sliding the parts 112, 114 apart indirection B (shown in FIG. 6).

Connecting and Disconnecting the Case from the Defibrillator

With reference again to FIGS. 4-6 and having described the structure ofthe wearable defibrillator 1 (shown in FIGS. 1-3) and case 110, stepsfor securing the case 110 around the defibrillator housing 3 will now bediscussed in detail. A user, such as a technician, physician, or patientto be monitored, begins by placing the upper part 112 and lower part 114of the case over corresponding portions of the wearable defibrillator 1.The user then slides the upper part 112 and the lower part 114 towardone another in direction A (shown in FIG. 6) causing the bottom edge 120of the upper part 112 to slightly overlap the top edge 130 of the lowerpart 114. Continuing to push the upper part 112 and the lower part 114toward one another causes the tabs 126, 136 to slide together, therebycausing the protrusion 142 to insert through the corresponding latchhole 144 to form a suitable connection therewith. In this connectedconfiguration, the bottom surface of the upper tab 126 contacts andrests against the lip 138 extending from the lower tab 136. Once theupper part 112 and the lower part 114 are suitably secured together, theuser inserts a portion of the lanyard clip 148 through the aligned holes128, 140 and releases the pivoting member 152 of the clip 148 allowingit to lock in place. In this way, the carrier strap 146 is securelyconnected to the case 110. Once the carrier strap 146 is attached to thecase 110, the defibrillator 1 is ready to be worn by a patient. Forexample, the wearer may place the carrier strap 146 over his or hershoulder or around his or her waist for easy and discreet carrying.

To remove the case 110, the user detaches the clips 148 from the anchorholes 128, 140 by depressing the pivoting member 152 of the clip 148while removing the body 150 of the clip 148 from the anchor hole 128,140. After the clips 148 are removed, the user separates the upper part112 of the case 110 from the lower part 114. For example, the user maypress against the protrusions 142 in a direction C (shown in FIG. 6) torelease the protrusions 142 from the holes 144. Once the protrusions 142are released, the user slides the upper part 112 away from the lowerpart 114 in direction B (shown in FIG. 6). In certain embodiments, theuser may use a tool, such as a flat head screw driver, to depress theprotrusion 142. In other embodiments, the user may press the protrusion142 with his or her finger or finger nail.

Case Removing Tool

With reference to FIG. 8, a tool 210 for removing the parts 112, 114 ofthe case 110 (shown in FIGS. 4-7B) from the defibrillator housing 3 isillustrated. The tool 210 comprises a body 211 comprising a frontsurface 212 and a recess 214 of a suitable size and shape to receive thedefibrillator 1 and case 110 attached thereto. The recess 214 comprisesa bottom and sidewalls including curved portions, surfaces, recesses andother structural features that are configured to receive correspondingstructural features of the defibrillator 1 and case 110. A number ofprotrusions 216 extend from the front surface 212 of the body 211. Theprotrusions 216 are positioned to contact the protrusions 142 (shown inFIGS. 4-7B) extending from the upper tab 126 of the case 110 when thecase 110 and defibrillator 1 are inserted in the recess. The protrusions216 may have a sloped or beveled profile so that a user can slide thecase 110 and defibrillator 1 into the recess 214 through an open top 218in the direction of arrow D. The body 211 may further comprisestructures for assisting in correctly positioning the case 110. Forexample, posts 220 and shelf portions 222 may extend from the frontsurface 212. The posts 220 and shelf portions 222 are configured toreceive the tabs 126, 136 (shown in FIGS. 4-6) in a desired orientation,such that the protrusions 216 come into contact with the correspondingprotrusion 142 of the upper tab 126.

To remove the case 110 from the defibrillator 1, the user slides thedefibrillator 1 and attached case 110 into the recess 214 in direction Dshown in FIG. 8. The tabs 126, 136 of the case 110 contact the posts220, thereby ensuring correct positioning. Continuing to slide the case110 in the direction D brings a bottom lip of the tab into contact withthe shelf portion 222, which indicates that the protrusions 216 areproperly aligned with protrusions 142 of the case 110. The user thenfirmly presses the defibrillator 1 into the recess 214 causing theprotrusions 216 to press against the protrusions 142 extending from theupper tab 126. The contact causes the protrusions 142 to retract throughthe latch holes 144 of the lower tab 136. In this way, the upper tab 126is released from the lower tab 136. Once the tabs 126, 136 are released,the user can remove the parts 112, 114 of the case 110 by sliding theupper part 112 away from the lower part 114 in the direction of arrow B(shown in FIG. 6).

Case with Biasing Tab

With reference to FIGS. 9A and 9B, a portion of another embodiment of acase 310 for the wearable defibrillator is illustrated. The case 310 issubstantially similar to the case 110 illustrated in FIGS. 4-7B, exceptfor the structure of the tabs 326, 336 which connect the upper part 312and the lower part 314 together. As in the previously describedembodiments, the case 310 is a two part structure including the upperpart 312 and the lower part 314 that are configured to slide together toform a structure that at least partially encloses the defibrillatorhousing 3 (shown in FIGS. 1-3). The upper tab 326 extends from an outersurface of the upper part 312. The upper tab 326 comprises a cap 325 ortop portion having a biasing member 342, such as a leaf spring,extending therefrom. The lower tab 336 is a substantially cup-shapedreceiving member having an open top 338 or slot for receiving thebiasing member 342 of the upper tab 326. The lower tab 336 furthercomprises a protrusion receiving portion on a sidewall thereof, such asa latch hole 344, configured to engage an end of the biasing member 342to form a suitable connection therewith. The lower tab 336 furthercomprises an anchor hole 328 for receiving a fastener or hangerconnected to a carrier strap, such as the strap shown in FIG. 4. When inthe connected configuration, the cap 325 of the upper tab 326 at leastpartially covers the open top 338 causing the tabs 326, 336 to appear tobe a single structure.

In use, the user moves the upper part 312 toward the lower part 314 inthe direction of arrow A (shown in FIG. 9A). Movement in the direction Ainserts the biasing member 342 through the open top 338 and causes thebiasing member 342 to deflect in an inward direction as a result ofcontact with a sidewall of the lower tab 336. Continued movement of theparts 312, 314 in direction A causes the biasing member 342 to travel ina downward direction along the sidewall of the lower tab 336 until thelatch hole 344 is reached. The biasing member 342 then deflects in anoutward direction into the latch hole 344, thereby connecting the upperpart 312 to the lower part 314. The connection or engagement between theupper part 312 and the lower part 314 can be removed by pressing on aportion of the biasing member 342 to release it from the latch hole 344.Once the biasing member 342 is released, the user can pull the upperpart 312 and the lower part 314 away from each other in direction B(shown in FIG. 9B) to disconnect the case 310 from the defibrillator 1.

Case with Locking Pin Connection

With reference to FIGS. 10A and 10B, another embodiment of a portion ofa case 310 for a wearable defibrillator is illustrated. As in thepreviously described embodiment, the case 310 is a two part structureincluding an upper part 312 and a lower part 314. The upper part 312 andthe lower part 314 are configured to slide together to form the case 310that surrounds or encloses at least a portion of the wearabledefibrillator. As in previously described embodiments, the upper part312 comprises upper tabs 326 and the lower part 314 comprisecorresponding lower tabs 336. For example, the upper tab 326 may be asubstantially flat piece configured to be received in a correspondingcup shaped lower tab 336. The upper tab 326 and lower tab 336 maycomprise anchor holes 328, 340 capable of being connected to a clip orfastener for connecting the tabs 326, 336 to a carrier strap 146, suchas the strap 146 shown in FIG. 4. The tabs 326, 336 further comprise asmaller latch hole 344 or fixing point that align when the tabs areconnected together. The user may insert a locking member 346, such as adial, pin, clip, or similar elongated member through the latch hole 344to secure the upper tab 312 to the lower tab 314. To disconnect theupper part 312 from the lower part 314, the user removes the clip 348(shown in FIG. 4) from the anchor holes 328, 340 and removes the lockingmember 346 from the locking hole 344. Once these items are removed, theuser may slide the upper part 312 away from the lower part 314 to removethe case 310 from the defibrillator housing 3.

Front Part/Rear Part Case

With reference to FIG. 11, another embodiment of a case 410 for awearable defibrillator is illustrated. The case 410 is a two-part caseincluding a front part 412 and a rear part 414. Once connected together,the parts 412, 414 form a case including a front opening 416 for viewingand manipulating the touchscreen of the defibrillator 1 and a rearopening 418 for accessing the battery well of the defibrillator 1. Thefront part 412 comprises a number of biasing members 420, such as leafsprings, extending from an inner edge 422 of the front part 412. Thebiasing members 420 are formed from a flexible member having aconnecting structure 424, such as a bulbous portion, ridge, or shelf atone end. The rear part comprises a number of slots 426 or holesconfigured to receive the connecting structure 424 of the biasing member420 to form a secure connection between the front part 412 and the rearpart 414. The front part 412 also comprises a front tab 428 with ananchor hole 430. The rear part 412 comprises a rear tab 432 having acorresponding anchor hole 434. The tabs 428, 432 are positioned suchthat when the front part 412 and the rear part 414 are connectedtogether, the tabs 428, 432 align so that clips can be insertedtherethrough. To connect the parts 412, 414 together, the user pressesthe front part 412 against the rear part 414, causing the biasingmembers 420 to defect in an inward direction. Continued pressured causesthe connecting structure 424 of the biasing member 420 to align with theslots 426 in the rear part 414 and to deflect outward into the slots 426to lock or connect the front part 412 to the rear part 414. The user maythen attach the carrying strap to the case 410 by attaching the clip orfastener through the anchor holes 430, 434. The case 410 may be removedfrom the defibrillator 1 by disconnected the clips from the anchor holes430, 434 and deflecting the biasing members 420 through the slots 426.Once the biasing members 420 are released from the slots 426, the usermay remove the front part 412 from the rear part 414.

Although a defibrillator 1 and case 110, 310, 410 have been described indetail for the purpose of illustration based on what is currentlyconsidered to be the most practical and preferred embodiments, it is tobe understood that such detail is solely for that purpose and that theinvention is not limited to the disclosed embodiments, but, on thecontrary, is intended to cover modifications and equivalentarrangements. For example, it is to be understood that this disclosurecontemplates that, to the extent possible, one or more features of anyembodiment can be combined with one or more features of any otherembodiment.

The invention claimed is:
 1. A case for a controller of a wearablemedical device, the controller comprising internal circuitry enclosedwithin an external housing, the case comprising: a first part sized tosurround a first portion of the external housing, the first partcomprising an inner surface with contours configured to receivecorresponding contours of the external housing; and a second part sizedto surround a second portion of the external housing and comprising aninner surface having contours configured to receive correspondingcontours of the external housing, wherein the first part is connected tothe second part to form a parting line around the external housing, andwherein the first part comprises a first tab and the second partcomprises a second tab, wherein the first tab and the second tab eachcomprise an anchor hole, and wherein when the first part is connected tothe second part, the anchor hole of the first tab aligns with at least aportion of the anchor hole of the second tab.
 2. The case of claim 1,wherein the parting line between the first part and the second part isflush with at least a portion of an outer surface of the first part andthe second part.
 3. The case of claim 1, wherein the first part isconnected to the second part by one or more of: an adhesive, ultrasonicwelding, one or more fasteners, and a snap mechanism.
 4. The case ofclaim 1, wherein the first part is connected to the second part byslidably inserting the first part and the second part together, suchthat a portion of the first part overlaps a portion of the second part.5. The case of claim 1, wherein the external housing comprises a topcover, a front cover, and a rear cover.
 6. The case of claim 5, whereinthe first part comprises a top configured to cover at least a portion ofthe top cover of the external housing and sides configured to coverportions of the front cover and the rear cover of the external housing.7. The case of claim 5, wherein the second part comprises a bottom andsides extending therefrom, the bottom and sides being configured tocover portions of the front cover and the rear cover.
 8. The case ofclaim 1, further comprising at least one case opening defined by thefirst part and/or the second part.
 9. The case of claim 8, wherein theat least one opening is positioned over one or more of a speaker, amicrophone, and a response button of the controller.
 10. The case ofclaim 8, wherein the at least one opening allows access to thecontroller for electrically coupling a sensing device and/or atherapeutic device to the controller.
 11. The case of claim 4, whereinthe overlapping portion of the first part or the overlapping portion ofthe second part comprises a sealing structure that forms a waterproofconnection between the first part and the second part along the partingline.
 12. The case of claim 1, wherein, when the first part is connectedto the second part, the case is waterproof.
 13. The case of claim 4,wherein the overlapping portions of the first part and the second partform a frictional engagement for securing the first part to the secondpart.
 14. The case of claim 1, wherein the at least one case openingcomprises a battery well opening, the battery well opening beingpositioned at an extended side of the first part and corresponding insize and shape to a battery well of the controller.
 15. The case ofclaim 14, wherein the parting line between the first part and the secondpart is a jogged parting line positioned to accommodate the battery wellopening.
 16. The case of claim 1, wherein the first tab or the secondtab comprises a protrusion, and wherein the protrusion is received in acorresponding protrusion receiving portion of the first tab or thesecond tab.
 17. The case of claim 1, wherein the first tab or the secondtab comprises a biasing member configured to bias the protrusion intothe protrusion receiving portion when the first part is connected to thesecond part.
 18. The case of claim 1, wherein the first tab comprises abottom lip and wherein, when the first part is connected to the secondpart, a bottom surface of the second tab is received by the bottom lip.19. A case for a controller of a wearable medical device, the controllercomprising internal circuitry enclosed within an external housing, thecase comprising: a first part sized to surround a first portion of theexternal housing, the first part comprising an inner surface withcontours configured to receive corresponding contours of the externalhousing; and a second part sized to surround a second portion of theexternal housing and comprising an inner surface having contoursconfigured to receive corresponding contours of the external housing,wherein the first part is connected to the second part to form a partingline around the external housing, and wherein the controller comprises acontroller for a wearable defibrillator.
 20. An assembly comprising: acontroller for a wearable medical device, the controller comprising anexternal housing enclosing internal electronic circuitry; and a case forthe controller, the case comprising: a first part sized to surround afirst portion of the external housing, the first part comprising aninner surface with contours configured to receive corresponding contoursof the external housing; and a second part sized to surround a secondportion of the external housing and comprising an inner surface havingcontours configured to receive corresponding contours of the externalhousing, wherein the first part is connected to the second part to forma parting line around the external housing, and wherein the first partof the case comprises a first tab and the second part of the casecomprises a second tab, wherein the first tab and the second tab eachcomprises an anchor hole, and wherein when the first part is connectedto the second part, the anchor hole of the first tab aligns with atleast a portion of the anchor hole of the second tab.
 21. The assemblyof claim 20, wherein the controller of the wearable medical devicefurther comprises a battery well for attaching a battery to the externalhousing.
 22. The assembly of claim 21, wherein, when the first part isconnected to the second part, the case comprises a case openingpositioned to permit a user to access the battery well of thecontroller.
 23. The assembly of claim 20, wherein, when the first partis connected to the second part, the case comprises an openingconfigured to allow a user to access a user interface of the controller.24. The assembly of claim 20, further comprising a carrying strap, andwherein the carrying strap is connected to the case with fastenersconnected to the anchor holes of the first tab and the second tab. 25.The assembly of claim 20, wherein the controller further comprises awireless receiver configured to wirelessly receive data from an externalsensing device and/or therapeutic device.
 26. The assembly of claim 20,wherein the first part of the case is connected to the second part ofthe case by slidably inserting the first part and the second parttogether, such that a portion of the first part overlaps a portion ofthe second part.
 27. An assembly comprising: a controller for a wearablemedical device, the controller comprising an external housing enclosinginternal electronic circuitry; and a case for the controller, the casecomprising: a first part sized to surround a first portion of theexternal housing, the first part comprising an inner surface withcontours configured to receive corresponding contours of the externalhousing; a second part sized to surround a second portion of theexternal housing and comprising an inner surface having contoursconfigured to receive corresponding contours of the external housing;and a wearable defibrillator operatively connected to the controller,wherein the first part is connected to the second part to form a partingline around the external housing.
 28. A case for a controller of amedical device, the controller comprising circuitry enclosed within anexternal housing, the case comprising: at least one part sized tosurround one or more portions of the controller and comprising contoursconfigured to receive corresponding contours of the external housing ofthe controller, the at least one part comprising a first part and asecond part configured to connect together in a tamper-proof manner,wherein the at least one part comprises at least one opening positionedto permit a user to access a user interface of the controller, andwherein the first part comprises a first tab and the second partcomprises a second tab, wherein the first tab and the second tab eachcomprise an anchor hole, and wherein when the first part is connected tothe second part, the anchor hole of the first tab aligns with at least aportion of the anchor hole of the second tab.
 29. The case of claim 28,wherein the at least one part comprises an outer surface comprisingcontours and protrusions shaped to resemble contours and protrusions ofthe external housing of the controller.
 30. The case of claim 28,wherein the at least one part is at least partially secured to theexternal housing of the controller.
 31. The case of claim 28 comprisinga protective case.
 32. The case of claim 28, wherein the controllercomprises an input component, and wherein the opening is positioned toallow the user to manipulate at least a portion of the input component.33. The case of claim 32, wherein the input component comprises one ormore of a response button, a data entry accessory, a keypad, a trackpad,an audio input device, and/or a touch screen.
 34. The case of claim 28,wherein the first part is connected to the second part by one or moreof: an adhesive, ultrasonic welding, one or more fasteners, and a snapmechanism.
 35. The case of claim 28, wherein the first part is connectedto the second part by slidably inserting the first part and the secondpart together, such that a portion of the first part overlaps a portionof the second part.
 36. The case of claim 28, wherein the first partand/or the second part further comprise at least one tab extendingtherefrom, the tab comprising an anchor hole for securing a carryingstrap to the case.
 37. The case of claim 28, wherein one of the firsttab and the second tab comprise a protrusion, and wherein the protrusionis received in a corresponding protrusion receiving portion of the firsttab or the second tab.
 38. A case for a controller of a medical device,the controller comprising circuitry enclosed within an external housing,the case comprising: at least one part sized to surround one or moreportions of the controller and comprising contours configured to receivecorresponding contours of the external housing of the controller,wherein the at least one part comprises at least one opening positionedto permit a user to access a user interface of the controller, andwherein the case is removable and replaceable, such that when thecontroller is provided with a replacement case, the controller appearsto be in a like-new condition.
 39. A case for a controller of a medicaldevice, the controller comprising circuitry enclosed within an externalhousing, the case comprising: at least one part sized to surround one ormore portions of the controller and comprising contours configured toreceive corresponding contours of the external housing of thecontroller, wherein the at least one part comprises at least one openingpositioned to permit a user to access a user interface of thecontroller, and wherein an appearance of the case is selected tocorrespond to an appearance of the external housing of the controller.